James Joseph Gugger
Neurology Physician · Rochester, NY
James Joseph Gugger is a neurology physician with a practice address in Rochester, New York, and NPI 1053705988, issued on Mar 28, 2015. Check the license (New York 332381, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- James Joseph Gugger
- Primary taxonomy
- Neurology Physician 2084N0400X
- License numbers
- 332381 NY
MD467022 PA
Self-reported in NPPES; status is on the state search - Practice location
- 601 Elmwood Ave Box 278984, Rochester, NY 14642
- Phone
- (585) 341-7500
- Enumerated
- Mar 28, 2015
- Record last updated
- May 6, 2025
- Medicare enrollment
- Enrolled (PECOS I20241028000908); accepts Medicare assignment
- Medical or professional school
- State University Of New York Downstate Medical Center, 2015
- Entity
- Type 1 · individual
8 nearest neurology physician records → All 1,778 in New York → Look up another NPI →
Also registered at 601 Elmwood Ave Box 278984
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Andrew Beckwith, MDNeurology Physician1144843210
- Jacob Korzun, MDNeurology Physician1235622846
Verify James Joseph Gugger in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 332381Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
80% fewer Medicare Part D claims than the average neurology physician in 2024
269 Medicare Part D claims for 52 beneficiaries, against an average of 1,370 among the 15,005 providers of this specialty who prescribed in Part D.
Most prescribed
- Lamotrigine41 claims
- Lacosamide37 claims
- Clobazam28 claims
- Levetiracetam26 claims
- Xcopri23 claims
- Rufinamide11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 85.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 3 group practices
- Mary Imogene Bassett HospitalCooperstown, NY
- U OF R Neurology DepartmentRochester, NY
- University OF RochesterRochester, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James Joseph Gugger among 1,778 neurology physician records in New York
James Joseph Gugger is one of 1,778 neurology physician records with a practice address in New York. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 79% of them.
- NPI issued2015 · 79% of these records are older, 18% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2015 · median 2004 among the 1,238 with a school on file
- Record last updated2025 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0400X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Neurology Physician providers in New York
There are 1,778 neurology physician records in New York.
All 1,778 in New York → Every provider in Rochester → Neurology Physician nationwide →
The 8 neurology physician records with the nearest ZIP codes
- Michel Berg, MDRochester, NY 146421639113723
- Gretchen Birbeck, MDRochester, NY 146421497796148
- Michelle Burack, MD, PHDRochester, NY 146421639185390
- Jeffrey Burdett, MDRochester, NY 146421316957004
- Andrew Goodman, MDRochester, NY 146421346265568
- Robert Griggs, MDRochester, NY 146421487686937
- Chad Heatwole, MDRochester, NY 146421245255322
- David Herrmann, MDRochester, NY 146421558386623
Common questions
What is James Joseph Gugger's NPI number?
James Joseph Gugger's National Provider Identifier (NPI) is 1053705988, issued on Mar 28, 2015. An NPI identifies a provider in billing; it is not a license.
Where is James Joseph Gugger located?
The NPPES record lists a practice address at 601 Elmwood Ave Box 278984, Rochester, NY, 14642. Phone: (585) 341-7500. Providers update this record themselves, so call before visiting.
How can I verify James Joseph Gugger's license?
NPPES lists New York license number 332381, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James Joseph Gugger prescribe under Medicare Part D?
In 2024, James Joseph Gugger had 269 Medicare Part D claims for 52 beneficiaries; the average among neurology physician prescribers was 1,370. Part D covers Medicare prescriptions only.
What is James Joseph Gugger's MIPS final score?
The 2023 MIPS final score is 85.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.